NR602
Advanced Pediatric Care
Week 8 Final Exam
Comprehensive Case
Studies & Rationales
Verified Solutions Bundle
Original 104-question pediatric study resource
NR602 Advanced Pediatric Care
Week 8 Final Exam Comprehensive
Case Studies & Rationales Verified
Solutions Bundle
Original practice resource for study use only
Original practice resource for study use only — not an official university exam, answer key, or
guarantee of course-specific correctness. Verify content against current NR602 materials,
instructor guidance, evidence-based practice, and local policy.
Educational product format: 104 original case-study questions with four answer choices, one
best answer, concise rationales, safety reminders, and an answer key. Questions are
independently written for lawful educational use and do not reproduce copyrighted
examination content.
Original practice resource | Study use only
,1. Antepartum Care and Prenatal Assessment
1. A pregnant client at 30 weeks reports bright-red vaginal bleeding without pain. Which
action should the nurse take first?
A. Perform a sterile vaginal examination.
B. Encourage the client to ambulate to assess the bleeding.
C. Place the client on bed rest and notify the provider promptly.
D. Apply a heating pad to the lower abdomen.
Correct answer: C. Place the client on bed rest and notify the provider promptly.
Rationale: Painless, bright-red bleeding in later pregnancy may indicate placenta previa, so
vaginal examinations should be avoided until placental location is known. Prompt evaluation
is needed; ambulation and heat are inappropriate.
2. A client’s last menstrual period began on January 8. Using Naegele’s rule, what is the
estimated date of birth?
A. September 15
B. October 1
C. October 15
D. November 8
Correct answer: C. October 15
Rationale: Add 7 days to January 8 and subtract 3 months, giving October 15. The estimate is
a guide and may be refined with ultrasound findings.
3. Which fundal-height finding is most consistent with an uncomplicated pregnancy at 24
weeks’ gestation?
A. 12 cm
B. 18 cm
C. 24 cm
D. 36 cm
Correct answer: C. 24 cm
,Rationale: From approximately 20 to 36 weeks, fundal height in centimeters generally
approximates gestational age in weeks, allowing for normal variation.
4. Which teaching point is most important for a client who is planning pregnancy?
A. Begin folic acid supplementation before conception.
B. Avoid all physical activity during the first trimester.
C. Restrict fluid intake to prevent edema.
D. Delay dental care until after delivery.
Correct answer: A. Begin folic acid supplementation before conception.
Rationale: Adequate folic acid before conception and during early pregnancy helps reduce
neural-tube defects. Routine activity, hydration, and dental care are generally appropriate
unless contraindicated.
5. A client at 8 weeks’ gestation reports unilateral pelvic pain, shoulder pain, dizziness, and
scant vaginal bleeding. Which complication should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy with possible internal bleeding
C. Round-ligament pain
D. Braxton Hicks contractions
Correct answer: B. Ectopic pregnancy with possible internal bleeding
Rationale: Early-pregnancy unilateral pain with dizziness, shoulder pain, and bleeding is an
emergency pattern consistent with ectopic pregnancy and possible rupture. The other
choices do not explain the full presentation.
6. A client at 34 weeks has a blood pressure of 168/112 mm Hg, severe headache, and blurred
vision. What is the nurse’s priority action?
A. Provide a quiet environment and arrange immediate evaluation.
B. Recheck the blood pressure at the next prenatal visit.
C. Encourage the client to drink an energy beverage.
D. Place the client supine and leave the room.
Correct answer: A. Provide a quiet environment and arrange immediate evaluation.
, Rationale: Severe hypertension with neurologic symptoms suggests preeclampsia with
severe features and risk for stroke or seizure. Immediate assessment and provider
notification are required; a supine position may reduce placental perfusion.
7. At which time is routine screening for gestational diabetes mellitus commonly performed
for a client without earlier risk-based screening?
A. 4–6 weeks
B. 12–14 weeks
C. 24–28 weeks
D. 36–38 weeks
Correct answer: C. 24–28 weeks
Rationale: Routine screening is commonly completed at 24–28 weeks because placental
hormones increasingly affect insulin resistance during this period. Earlier screening may be
indicated by risk factors.
8. An unsensitized pregnant client who is Rh-negative is approaching 28 weeks. Which
intervention should the nurse anticipate?
A. Administration of Rh immune globulin as prescribed
B. Administration of a live-virus vaccine
C. Immediate induction of labor
D. Restriction of dietary iron
Correct answer: A. Administration of Rh immune globulin as prescribed
Rationale: Rh immune globulin helps prevent maternal sensitization to Rh-positive fetal red
blood cells. It is commonly given around 28 weeks and after qualifying bleeding or birth
events according to protocol.
9. A client at 35 weeks says fetal movement has decreased noticeably today. Which
instruction is most appropriate?
A. Wait until the next scheduled appointment.
B. Perform a fetal-movement count as instructed and report a concerning decrease promptly.
C. Drink no fluids until movement returns.
D. Massage the abdomen vigorously.
Advanced Pediatric Care
Week 8 Final Exam
Comprehensive Case
Studies & Rationales
Verified Solutions Bundle
Original 104-question pediatric study resource
NR602 Advanced Pediatric Care
Week 8 Final Exam Comprehensive
Case Studies & Rationales Verified
Solutions Bundle
Original practice resource for study use only
Original practice resource for study use only — not an official university exam, answer key, or
guarantee of course-specific correctness. Verify content against current NR602 materials,
instructor guidance, evidence-based practice, and local policy.
Educational product format: 104 original case-study questions with four answer choices, one
best answer, concise rationales, safety reminders, and an answer key. Questions are
independently written for lawful educational use and do not reproduce copyrighted
examination content.
Original practice resource | Study use only
,1. Antepartum Care and Prenatal Assessment
1. A pregnant client at 30 weeks reports bright-red vaginal bleeding without pain. Which
action should the nurse take first?
A. Perform a sterile vaginal examination.
B. Encourage the client to ambulate to assess the bleeding.
C. Place the client on bed rest and notify the provider promptly.
D. Apply a heating pad to the lower abdomen.
Correct answer: C. Place the client on bed rest and notify the provider promptly.
Rationale: Painless, bright-red bleeding in later pregnancy may indicate placenta previa, so
vaginal examinations should be avoided until placental location is known. Prompt evaluation
is needed; ambulation and heat are inappropriate.
2. A client’s last menstrual period began on January 8. Using Naegele’s rule, what is the
estimated date of birth?
A. September 15
B. October 1
C. October 15
D. November 8
Correct answer: C. October 15
Rationale: Add 7 days to January 8 and subtract 3 months, giving October 15. The estimate is
a guide and may be refined with ultrasound findings.
3. Which fundal-height finding is most consistent with an uncomplicated pregnancy at 24
weeks’ gestation?
A. 12 cm
B. 18 cm
C. 24 cm
D. 36 cm
Correct answer: C. 24 cm
,Rationale: From approximately 20 to 36 weeks, fundal height in centimeters generally
approximates gestational age in weeks, allowing for normal variation.
4. Which teaching point is most important for a client who is planning pregnancy?
A. Begin folic acid supplementation before conception.
B. Avoid all physical activity during the first trimester.
C. Restrict fluid intake to prevent edema.
D. Delay dental care until after delivery.
Correct answer: A. Begin folic acid supplementation before conception.
Rationale: Adequate folic acid before conception and during early pregnancy helps reduce
neural-tube defects. Routine activity, hydration, and dental care are generally appropriate
unless contraindicated.
5. A client at 8 weeks’ gestation reports unilateral pelvic pain, shoulder pain, dizziness, and
scant vaginal bleeding. Which complication should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy with possible internal bleeding
C. Round-ligament pain
D. Braxton Hicks contractions
Correct answer: B. Ectopic pregnancy with possible internal bleeding
Rationale: Early-pregnancy unilateral pain with dizziness, shoulder pain, and bleeding is an
emergency pattern consistent with ectopic pregnancy and possible rupture. The other
choices do not explain the full presentation.
6. A client at 34 weeks has a blood pressure of 168/112 mm Hg, severe headache, and blurred
vision. What is the nurse’s priority action?
A. Provide a quiet environment and arrange immediate evaluation.
B. Recheck the blood pressure at the next prenatal visit.
C. Encourage the client to drink an energy beverage.
D. Place the client supine and leave the room.
Correct answer: A. Provide a quiet environment and arrange immediate evaluation.
, Rationale: Severe hypertension with neurologic symptoms suggests preeclampsia with
severe features and risk for stroke or seizure. Immediate assessment and provider
notification are required; a supine position may reduce placental perfusion.
7. At which time is routine screening for gestational diabetes mellitus commonly performed
for a client without earlier risk-based screening?
A. 4–6 weeks
B. 12–14 weeks
C. 24–28 weeks
D. 36–38 weeks
Correct answer: C. 24–28 weeks
Rationale: Routine screening is commonly completed at 24–28 weeks because placental
hormones increasingly affect insulin resistance during this period. Earlier screening may be
indicated by risk factors.
8. An unsensitized pregnant client who is Rh-negative is approaching 28 weeks. Which
intervention should the nurse anticipate?
A. Administration of Rh immune globulin as prescribed
B. Administration of a live-virus vaccine
C. Immediate induction of labor
D. Restriction of dietary iron
Correct answer: A. Administration of Rh immune globulin as prescribed
Rationale: Rh immune globulin helps prevent maternal sensitization to Rh-positive fetal red
blood cells. It is commonly given around 28 weeks and after qualifying bleeding or birth
events according to protocol.
9. A client at 35 weeks says fetal movement has decreased noticeably today. Which
instruction is most appropriate?
A. Wait until the next scheduled appointment.
B. Perform a fetal-movement count as instructed and report a concerning decrease promptly.
C. Drink no fluids until movement returns.
D. Massage the abdomen vigorously.
